Key result
Family support interventions improve clinical outcomes across ~90% of cardiometabolic disease studies.
Why the study?
The study was conducted to evaluate how family support affects cardiometabolic outcomes.
Do family support and involvement interventions improve clinical, behavioural, and psychosocial outcomes in adult patients with type 2 diabetes mellitus or hypertension and their family members?
Systematic Review
Do family support and involvement interventions improve clinical, behavioural, and psychosocial outcomes in adult patients with type 2 diabetes mellitus or hypertension and their family members?
Integrating family support—especially via community-based, interdisciplinary, and mHealth-enabled programmes—into the routine management of type 2 diabetes and hypertension consistently improves health behaviours, psychosocial well-being, and clinical parameters such as A1C and blood pressure for patients and often benefits family supporters.
Supports integrating family support into routine T2DM and hypertension care; extends evidence for community-based and mHealth programs.
AIM: To evaluate how family support affects cardiometabolic outcomes. DESIGN: Integrative literature review. SOURCES: PubMed, CINAHL, EMBASE and Scopus were searched for peer-reviewed primary research published between 2016 and 2021. METHODS: Independent screening of 1661 citations resulted in 17 international publications involving 16 experimental studies selected. Data were analysed using a constant comparison method. RESULTS: While the interventions varied regarding target, duration, setting and the profession of the interventionists, all studies demonstrated some level of the effectiveness for family involvement and support in the management of cardiometabolic diseases. The studies found improvement in health behaviours and clinical/psychosocial outcomes for the patients and the family members. CONCLUSION: Based on the findings from this review, we recommend utilizing the following for future family interventions in the management of diabetes and/or hypertension: (1) broader definitions of family and structures; (2) a community participatory/action-research method with embedded healthcare workers; (3) an interdisciplinary approach with attention to goal-setting; (4) multimodal interventions including technology; (5) culturally tailoring interventions for relevance as needed; and (6) clear direction regarding support role and tools.
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Nguyen et al. (2023) conducted a systematic review in Cardiometabolic disease (Type 2 diabetes mellitus and/or hypertension). Family involvement and support interventions (interdisciplinary, community support, and technology-assisted/mHealth programmes) vs. Usual care or interventions without family involvement was evaluated on Clinical outcomes (A1C, blood pressure, BMI/weight, lipids), health behaviours, and psychosocial outcomes. Family support interventions in cardiometabolic disease improved clinical outcomes in over 90% of reporting studies (66.7% statistically significant) and health behaviors in 75% of studies.
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